口服营养干预用于中风恢复:系统性审查
Alexander Lang1, Mario Álvarez-Martínez1, Mohammed Gulrez Zariwala2
1Centre for Better Living, Anglia Ruskin University, Cambridge CB1 1PT, United Kingdom.
Nutrition reviews
|October 9, 2025
概括
口服营养补充剂 (ONS) 可能有助于中风恢复,特别是以蛋白质为基础的补充剂与运动相结合. 然而,结果各不相同,需要更多的研究来临床使用.
科学领域:
- 神经学 神经学
- 营养科学 营养科学
- 康复医学 康复医学 康复医学
背景情况:
- 在中风患者中,低于最佳的营养状况是常见的,阻碍了恢复和康复.
- 口服营养补充剂 (ONS) 可以解决缺陷并支持中风康复.
研究的目的:
- 系统地审查口服营养干预措施对中风康复中的功能,认知和心理结果的影响.
- 评估对日常生活活动 (ADL),肌肉功能,认知和情绪的影响.
主要方法:
- 使用PICO框架对随机对照试验 (RCT) 的系统审查.
- 在科学网,PubMed,谷歌学者和Scopus进行的搜索.
- 包括23项关于各种营养干预措施的研究 (24份报告).
主要成果:
- 对中风幸存者的营养干预观察到混合的结果.
- 蛋白质能量补充剂,特别是抵抗训练,显示了功能增益的潜力.
- 其他干预措施,如维生素D,氨基酸,多和omega-3产生了不同的或矛盾的结果.
结论:
- 具有较高营养需求的中风患者可能从有针对性的干预中获益最多.
- 基于蛋白质的ONS与运动康复一起,有望改善功能结果.
- 由于研究异质性和混合结果,需要进一步研究以建立临床指南.
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